Danicek, Marguerite Louise

Danicek, Marguerite Louise is an individual health care provider with primary practice located at 2705 N Lebanon St Ste 210 , Lebanon IN 46052-8622. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Danicek, Marguerite Louise can be contacted via phone (765) 485-8790.

Contact Information

Primary practice address
2705 N Lebanon St Ste 210 Lebanon IN 46052-8622
Phone: (765) 485-8790
Fax: (765) 485-8795
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 10002974A Indiana

Profile Details

NPI number 1548885411
LBN Legal business name Danicek, Marguerite Louise
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2020
Last updated Oct 10th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548885411 NPPES
Indiana MEDICAID 300040184

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